Crystal Run Healthcare Physicians LLP

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CRYSTAL RUN HEALTHCARE PHYSICIANS LLP

Practice address

807 State Route 17M
Monroe, NY 10950-2625

Phone

(845) 703-6999

Fax

(845) 703-6297

NPI assigned

Sep 17, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hal David Teitelbaum, MD, JD, MBA

Title

Managing Partner & Ceo

Phone

(845) 703-6999

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1942518527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414028",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 STATE ROUTE 17M",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502625",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL RUN HEALTHCARE PHYSICIANS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "TEITELBAUM",
        "authorized_official_first_name": "HAL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER & CEO",
        "authorized_official_telephone_number": "845-703-6999",
        "authorized_official_credential": "MD, JD, MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Haydak Coyle, MS, PT
• Bobby Crohn, D.D.S.
• Crystal Run Healthcare Physicians LLP
• Crystal Run Healthcare Physicians LLP
• Crystal Run Healthcare Physicians LLP
• Llewellyn Cumming, LMSW
• Kayla M Cuomo
• Linda J Cuomo, MD
• CVS Albany LLC
• CVS Albany LLC

• Durable Medical Equipment & Medical Supplies in Monroe, NY
• Providers in Monroe, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.